ENDO Messages for March, 2007: Re: Question about pain,pain pills & working

Re: Question about pain,pain pills & working

From: D (anonymous@obgyn.net)
Wed Mar 28 18:42:11 2007

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In reply to: M: "Question about pain,pain pills & working"

My doctor has me on fentanyl skin patches I wear for 3 days at a time that deliver the equivalent of about a fist-full of percocets each day, and he adds hydrocodone and morphine for breakthrough pain. The idea is to keep the level of medicine in your system constant, but also as low as possible so the pain doesn't start up. Inevitably, there is "breakthrough pain" when the pain spikes (often for no apparent reason) which is what the shorter-acting meds are for. The worse I let the pain get, the more difficult it is to resolve it - and it takes more drugs, too.

Most people can build a tolerance to the side effects like sleepiness and nausea quickly. Before I was in pain management my doctors never prescribed enough to really deal with my pain - and they certainly wouldn't give me anything like fentanyl or morphine - and I couldn't work more days than I could. With the pain under control, I'm working fulltime.

There are still problems like I get tired very easily, and I still get the annoying fevers pretty much every day, but I'm much happier now that I can at least work and have part of my life back.

About the nausea - I found that the pain was causing a lot my nausea. I don't know how many people find this to be true, but when my pain was finally treated and under control the nausea stopped, too. I seem to get nauseous before the pain really hits, it's a signal. I tried phenergan, but can't take it because of the side effects (one of them being that it turns me into a raving bitch). I don't know if you can build up a tolerance to phenergan or not - anyone?

At Wed, 28 Mar 2007, M wrote: >
>Hey Ladies,
>I am desperate to find an answer to this question. I work full time but
>there are more days I am in pain and sick than not. I have meds like
>vicodin,persc,naprocen & hydrocodone that I had gotten from diff docs
>and diff visits. Also I have Phengran for nausea but also can't take
>during day. Most meds make me sleepy or out of it. So, of course I'm
>scared to take them and drive/wrk.
>I know a lot of you work full time and see pain management specialists.
>How do you get through the day. I have been in so much pain today as
>today and my PCP says well take tylenol. Of course tylenol,advil,etc do
>nothing for me.
>Any advice is appreciated as my docs are no help.
>Thanks
>Melissa

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Next message: josie: "Re: severe pelvic pain...i would so appreciate your ideas!!"
Previous message: Kimberly: "Re: Question about pain,pain pills & working"
In reply to: M: "Question about pain,pain pills & working"

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